LISA FORMAN (MD) – Transplant Hepatology Physician, NPI 1578653259

LISA FORMAN (MD) is a healthcare provider. based in Aurora, Colorado. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 40387 (CO). The NPI Number for LISA FORMAN (MD) is 1578653259

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
LISA FORMAN (MD)
NPI
1578653259
Phone
(303) 493-7000
Address
PO BOX 110429
Enumeration Date
13 October 2006
Last Update Date
19 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7208480000
Graduation Year
1995 (31 years ago)
PAC ID
9638155310
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20040624001180
Address ID
CO800452545AU12605AVEX413
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

369 GASTROENTEROLOGY in CO

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Provider Addresses for LISA FORMAN (MD)

  • PO BOX 110429

    AURORA, CO 800420429

    Phone: (303) 493-7000

    Type: Mailing

  • University of Colorado Hospital, 12605, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040624001180IGastroenterologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes6358$0
99205New patient office or other outpatient visit, 60-74 minutes5353$0
99214Established patient office or other outpatient visit, 30-39 minutes4945$0
99213Established patient office or other outpatient visit, 20-29 minutes2727$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 80042)

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Provider's Procedures

LISA FORMAN (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYCO43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope3836

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

Does LISA FORMAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LISA FORMAN (MD) uses 1578653259.
Can I rely on LISA FORMAN (MD) being an active provider?
As of the registry snapshot, LISA FORMAN (MD) is marked active.
What is LISA FORMAN (MD)'s primary classification?
Transplant Hepatology Physician is the headline specialty for LISA FORMAN (MD) here. Clinical services aligned with this taxonomy classification.
Where is LISA FORMAN (MD) based?
LISA FORMAN (MD) is tied to Aurora, Colorado in the data we show; additional addresses may exist on the full record.
Why does LISA FORMAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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